Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum Disorder

Autism spectrum disorder (ASD), with its high economic and societal costs, is a growing public health concern whose prevalence has risen steadily over the last two decades. Although actual increased incidence versus improved diagnosis remains controversial, the increased prevalence of ASD suggests n...

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Main Authors: Hyeong-Moo Shin, Jiwon Oh, Rebecca J. Schmidt, Elizabeth N. Pearce
Format: Article
Language:English
Published: Korean Endocrine Society 2022-12-01
Series:Endocrinology and Metabolism
Subjects:
Online Access:http://www.e-enm.org/upload/pdf/enm-2022-1598.pdf
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author Hyeong-Moo Shin
Jiwon Oh
Rebecca J. Schmidt
Elizabeth N. Pearce
author_facet Hyeong-Moo Shin
Jiwon Oh
Rebecca J. Schmidt
Elizabeth N. Pearce
author_sort Hyeong-Moo Shin
collection DOAJ
description Autism spectrum disorder (ASD), with its high economic and societal costs, is a growing public health concern whose prevalence has risen steadily over the last two decades. Although actual increased incidence versus improved diagnosis remains controversial, the increased prevalence of ASD suggests non-inherited factors as likely contributors. There is increasing epidemiologic evidence that abnormal maternal thyroid function during pregnancy is associated with increased risk of child ASD and other neurodevelopmental disorders. Prenatal exposure to endocrine-disrupting chemicals such as per- and polyfluoroalkyl substances (PFAS) is known to disrupt thyroid function and can affect early brain development; thus, thyroid dysfunction is hypothesized to mediate this relationship. The concept of a potential pathway from prenatal PFAS exposure through thyroid dysfunction to ASD etiology is not new; however, the extant literature on this topic is scant. The aim of this review is to evaluate and summarize reports with regard to potential mechanisms in this pathway.
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spelling doaj.art-f03687d40e684979bebd92afb74c58d82023-01-04T05:41:52ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782022-12-0137681982910.3803/EnM.2022.15982347Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum DisorderHyeong-Moo Shin0Jiwon Oh1Rebecca J. Schmidt2Elizabeth N. Pearce3 Department of Environmental Science, Baylor University, Waco, TX, USA Department of Public Health Sciences, University of California, Davis, CA, USA Department of Public Health Sciences, University of California, Davis, CA, USA Section of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Boston University School of Medicine, Boston, MA, USAAutism spectrum disorder (ASD), with its high economic and societal costs, is a growing public health concern whose prevalence has risen steadily over the last two decades. Although actual increased incidence versus improved diagnosis remains controversial, the increased prevalence of ASD suggests non-inherited factors as likely contributors. There is increasing epidemiologic evidence that abnormal maternal thyroid function during pregnancy is associated with increased risk of child ASD and other neurodevelopmental disorders. Prenatal exposure to endocrine-disrupting chemicals such as per- and polyfluoroalkyl substances (PFAS) is known to disrupt thyroid function and can affect early brain development; thus, thyroid dysfunction is hypothesized to mediate this relationship. The concept of a potential pathway from prenatal PFAS exposure through thyroid dysfunction to ASD etiology is not new; however, the extant literature on this topic is scant. The aim of this review is to evaluate and summarize reports with regard to potential mechanisms in this pathway.http://www.e-enm.org/upload/pdf/enm-2022-1598.pdfantibodiesautism spectrum disorderendocrine disrupting chemicalsenvironmental exposurepregnancythyroid
spellingShingle Hyeong-Moo Shin
Jiwon Oh
Rebecca J. Schmidt
Elizabeth N. Pearce
Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum Disorder
Endocrinology and Metabolism
antibodies
autism spectrum disorder
endocrine disrupting chemicals
environmental exposure
pregnancy
thyroid
title Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum Disorder
title_full Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum Disorder
title_fullStr Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum Disorder
title_full_unstemmed Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum Disorder
title_short Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Maternal Thyroid Dysfunction, and Child Autism Spectrum Disorder
title_sort prenatal exposure to per and polyfluoroalkyl substances maternal thyroid dysfunction and child autism spectrum disorder
topic antibodies
autism spectrum disorder
endocrine disrupting chemicals
environmental exposure
pregnancy
thyroid
url http://www.e-enm.org/upload/pdf/enm-2022-1598.pdf
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